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CAROL LYNNE KELLY CNP
NPI 1780939314
Nurse Practitioner - Family in Bemidji, MN

Active since July 19, 2012
1405 ANNE ST NW, BEMIDJI, MN 56601(218) 368-7795(218) 444-9252 Get Directions Write a Review

NPPES record last updated: December 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carol Lynne Kelly Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL LYNNE KELLY CNP (NPI 1780939314) is an individual family provider in Bemidji, Minnesota, licensed in Minnesota (R 89344-0) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1780939314
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL LYNNE KELLYCredential: CNP
Location Address1405 ANNE ST NWBemidji, MN 56601-5113
Mailing AddressPo Box 346Bemidji, MN 56619-0346 · (218) 368-7795 · Fax (218) 444-9252
Phone(218) 368-7795
Fax(218) 444-9252
Sole ProprietorNo
Enumeration DateJuly 19, 2012
Last NPPES UpdateDecember 27, 2013
✔ NPI 1780939314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R 89344-0
1405 ANNE ST NW, Bemidji, MN 56601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATIE LOUISE PETERSON DDS
Dentist
1405 ANNE ST NW, NORTHERN DENTAL ACCESS CENTER
BEMIDJI, MN 56601
Beltrami County (218) 444-9646
MERITCARE MEDICAL GROUP
Optometrist
1405 ANNE ST NW
BEMIDJI, MN 56601
Beltrami County (218) 759-1290
WOMACK OPTICIANS
Eyewear Supplier
1405 ANNE ST NW
BEMIDJI, MN 56601
Beltrami County (218) 759-1290
DR. RAVI N GUPTA D.D.S.
Dentist
1405 ANNE ST NW
BEMIDJI, MN 56601
Beltrami County (218) 444-9646
DR. MARSHALL GEORGE MUIRHEAD DDS
Dentist (General Practice)
1405 ANNE ST NW
BEMIDJI, MN 56601
Beltrami County (218) 444-9147
ANGELA KEPRIOS CHW
Community Health Worker
1405 ANNE ST NW
BEMIDJI, MN 56601
Beltrami County (218) 556-3666
DAIDRIE ANN PROMERSBERGER RDH
Dental Hygienist
1405 ANNE ST NW
BEMIDJI, MN 56601
Beltrami County (218) 444-9646
KATHRINE ELIZABETH HAAG RDH
Dental Hygienist
1405 ANNE ST NW
BEMIDJI, MN 56601
Beltrami County (218) 444-9646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Kelly's NPI number?

The NPI number for Carol Kelly is 1780939314. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Carol Kelly located?

Carol Kelly practices at 1405 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 368-7795.

What is Carol Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Carol Kelly was last updated on December 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.